Provider Demographics
NPI:1215088190
Name:SHEALY, KAREN LAMBERT (RN)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:LAMBERT
Last Name:SHEALY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 310
Mailing Address - Street 2:
Mailing Address - City:CHAPIN
Mailing Address - State:SC
Mailing Address - Zip Code:29036-0310
Mailing Address - Country:US
Mailing Address - Phone:803-345-9984
Mailing Address - Fax:
Practice Address - Street 1:1062 OLD BUSH RIVER RD.
Practice Address - Street 2:
Practice Address - City:CHAPIN
Practice Address - State:SC
Practice Address - Zip Code:29036-0310
Practice Address - Country:US
Practice Address - Phone:803-345-9984
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC25297163WH1000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH1000XNursing Service ProvidersRegistered NurseHospice